Organization
GREENWOOD THERAPEUTIC SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA IANNONE PHD (OWNER)
(410) 298-8223
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD STE 3, COLUMBIA, MD 21045-3960
(410) 298-8223
(410) 298-8225
Mailing address
727 RIVER RD, SYKESVILLE, MD 21784-5506
(410) 409-5445
(410) 298-8225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0190
MD
Other
Enumeration date
05/12/2007
Last updated
08/22/2020
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